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Individual
DR. KAREN P HAVERLY
Active
Individual
DR. KAREN P HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030435
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001304352
—
CT
01
—
004196095
GHMC GRP MEDICAID ID
CT
01
—
010030435CT01
BCBS N BCFP PROV ID
CT
01
—
01030435
CIGNA PROV ID
CT
01
—
060025
HEALTH NET PROV ID
CT
01
—
060916784-042
TRICARE HNFS PROV ID
CT
01
—
1255448155
GHMC NPI ID
CT
01
—
135451
WELLCARE MEDICARE
CT
01
—
3043501
CONNECTICARE PROV ID
CT
01
—
482028
AETNA PROV ID
CT
01
—
912397
HEALTH NET REF ID
CT
01
—
P369881
OXFORD PROV ID
CT
Enumeration date
06/27/2005
Last updated
07/08/2007
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